Clinical Gastroenterology Vol.25 No.8(3-1)

Theme Magnifying Endoscopy -- Is It Really Necessary for All the Endoscopists?
Title Stomach Cancer Screening and Magnifying Endoscopy
Publish Date 2010/07
Author Mitsugi Yasuda Department of Gastroenterology, Kagawa Prefectural Cancer Detection Center
Author Kouzou Kawai Department of Gastroenterology and Hepatology, Kagawa Prefectural Central Hospital
[ Summary ] Endoscopic screening for gastric cancer is recognized as being more diagnostically accurate than X-ray screening. The number of individuals screened with this tool has increased markedly. Individuals being screened tend to prefer a less invasive procedure. Therefore, endoscopes with higher image quality are being produced with smaller diameters. Transnasal endoscopy is more readily accepted by individuals being screened and is safe in terms of less hemodynamic stress on the individual being screened. As a result, an increasing number of screening facilities are using this procedure. Additionally, magnifying endoscopes are exceptional, multi-purpose instruments which allow for the detection of lesions as well as qualitative assessment and determination of extent. These instruments also make it possible to assess the risk of gastric cancer. Because of these factors, new types of magnifying endoscopes have relatively large outer diameters, making them less appealing for use in routine screening without sedation.
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